Effectiveness of a Peer Support Programme versus Usual Care in Disease Management of Diabetes Mellitus Type 2 regarding Improvement of Metabolic Control: A Cluster-Randomised Controlled Trial
Joint Authors
Johansson, Tim
Keller, Sophie
Winkler, Henrike
Weitgasser, Raimund
Sönnichsen, Andreas C.
Ostermann, Thomas
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-20
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Aim.
Testing the effectiveness of peer support additionally to a disease management programme (DMP) for type 2 diabetes patients.
Methods.
Unblinded cluster-randomised controlled trial (RCT) involving 49 general practices, province of Salzburg, Austria.
All patients enrolled in the DMP were eligible, n = 337 participated (intervention: 148 in 19 clusters; control: 189 in 20 clusters).
The peer support intervention ran over 24 months and consisted of peer supporter recruitment and training, and group meetings weekly for physical exercise and monthly for discussion of diabetes related topics.
Results.
At two-year follow-up, adjusted analysis revealed a nonsignificant difference in HbA 1c change of 0.14% (21.97 mmol/mol) in favour of the intervention (95% CI −0.08 to 0.36%, p = 0.22 ).
Baseline values were 7.02 ± 1.25% in the intervention and 7.08 ± 1.25 in the control group.
None of the secondary outcome measures showed significant differences except for improved quality of life (EQ-5D-VAS) in controls (4.3 points on a scale of 100; 95% CI 0.08 to 8.53, p = 0.046 ) compared to the intervention group.
Conclusion.
Our peer support intervention as an additional DMP component showed no significant effect on HbA 1c and secondary outcome measures.
Further RTCs with a longer follow-up are needed to reveal whether peer support will have clinically relevant effects.
Trial Registration.
This trial has been registered with Current Controlled Trials Ltd.
(ISRCTN10291077).
American Psychological Association (APA)
Johansson, Tim& Keller, Sophie& Winkler, Henrike& Ostermann, Thomas& Weitgasser, Raimund& Sönnichsen, Andreas C.. 2015. Effectiveness of a Peer Support Programme versus Usual Care in Disease Management of Diabetes Mellitus Type 2 regarding Improvement of Metabolic Control: A Cluster-Randomised Controlled Trial. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1108057
Modern Language Association (MLA)
Johansson, Tim…[et al.]. Effectiveness of a Peer Support Programme versus Usual Care in Disease Management of Diabetes Mellitus Type 2 regarding Improvement of Metabolic Control: A Cluster-Randomised Controlled Trial. Journal of Diabetes Research No. 2016 (2016), pp.1-10.
https://search.emarefa.net/detail/BIM-1108057
American Medical Association (AMA)
Johansson, Tim& Keller, Sophie& Winkler, Henrike& Ostermann, Thomas& Weitgasser, Raimund& Sönnichsen, Andreas C.. Effectiveness of a Peer Support Programme versus Usual Care in Disease Management of Diabetes Mellitus Type 2 regarding Improvement of Metabolic Control: A Cluster-Randomised Controlled Trial. Journal of Diabetes Research. 2015. Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1108057
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1108057